Alexander Kraig Anagnostou, CBT
Individual provider Active NPI Other Technician · Lacey, WA
NPI 1215430749 · NPPES record last updated Nov 14, 2018
Key facts
- NPI
- 1215430749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 8282 28TH CT NE Ste a
Lacey, WA 98516-7162 - Phone
- (360) 915-6868
- NPI assigned
- Mar 11, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Basics Northwest | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
8282 28TH CT NE Ste a
Lacey, WA 98516-7162
Mailing address
525 Hillcrest Dr
Longview, WA 98632-5746
Phone (360) 270-1257
Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.